| NPI | 1104387471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 22724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1018437) |
| 207P00000X Emergency Medicine (Licence: MI 5151013903) | |
| 207P00000X Emergency Medicine (Licence: ME DO3849) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-01-20 |